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Fast Facts on imMTrax. Overview. Fast Facts on What is New in imMTrax Client-Centered Activities Consent Complexities Medical Home Association Responsible Persons Immunization Forecasting Facility- Centered Activities Reminder-Recall Functionality
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Overview • Fast Facts on What is New in imMTrax • Client-Centered Activities • Consent Complexities • Medical Home Association • Responsible Persons • Immunization Forecasting • Facility- Centered Activities • Reminder-Recall Functionality • Managing Your Inventory • Managing Your Cold Chain • Monthly VFC Reconciliation
Overview • 7 Data Entry Quick Tips • What Lies Ahead for imMTrax • Resources
IIS Participation Across the States • State-Based Registries • Consent Process Determined by State Legislatures • “The establishment of immunization registries is a complex endeavor that has been most successful at the local and state levels. Much of the current variation in registries is a result of varying state laws” • 1999 National Vaccine Advisory Committee Report • Two Methods of Participation • Voluntary Exclusion or “Opt-Out” • Voluntary Inclusion or “Opt-In”
Where Does MT Stand? • Montana • “Opt-In” State • Voluntary Inclusion • Written Consent • imMTrax Consent Processes in Accordance with Montana Law
Patient Consent Status • Active Status- Free to View • Consent Gathered & Recorded in System • Written Consent Form- Available in imMTrax & Online
Patient Consent Status • Inactive Status- Blocked from View • Undetermined Status- Unsure of the Patient’s Decision • Consent Denied Status- The Patient (or Responsible Person) has Chosen Not To Participate in imMTrax
“Unlocking” Records • Changing Consent Status in imMTrax
Need Help Educating Patients? • Educational imMTrax Brochures are Available!
Medical Home Association (Clarifying Your Immunization Relationship)
Responsible Persons (We Can Store Multiple Addresses Now!)
Immunization Forecasting (Stay tuned for “Forecasting the Future: Mankind vs. Machine”)
Reminder-Recall Functionality (A Best Practice Made Easy)
Ensuring Your R/R Success • DPHHS: Making Adjustments/Updates to the Forecasting Algorithm • Your Facility: Keeping imMTrax Up-To-Date • Immunization Histories • Data Entry or Electronic Data Transfer • Responsible Person Information • Mailing Addresses & Phone Numbers
Ensuring Your R/R Success • Cue Your Patients for R/R • Select “Yes” Under “Allow Reminder & Recall Contact? Notices?”
Ensuring Your R/R Success • Cue Your Responsible Persons for R/R • Check the “Reminder Notices?” Box
Managing Your Inventory (Reports, Transactions & More)
Receiving Immunizations • All VFC Vaccine Will Automatically Import into Your Inventory EXCEPT Varicella • Immunization Staff Import VFC Shipping Logs Each Morning • Varicella Ships Directly from Merck & MUST Be Added • Add as PrivateStock-> Call Us to Switch to Public
Where Did I Go Wrong? • A “Show Transactions” Report Will Display IZ Activity • Sort By the Date the Immunization Was Entered OR • Date the Shot Was Given
Monthly VFC Reconciliation (Syncing Your Fridge Count with Your Electronic imMTrax Count)
Reconciliation • imMTrax Times Out After 45 Minutes of Inactivity • Hit Save and Finish Later Frequently To Avoid Data Loss • Some Users Print The Reconciliation Screen, Perform a Manual Count, & Come Back to The System for Data Entry • Hit Save and Submit When You Are Finished
EHR-IIS Interoperability (Getting Our Systems Talking)
EHR-IIS Interoperability • Working with 14 Facilities • Developing Interfaces & Exchange of Immunization Information Using Health Level 7 (HL7) Standards • Grant Concludes Summer 2012 • Flat File Data Submissions Will Continue
Quick Tip #1 Location, Location, Location!
Location, Location, Location! • If Applicable, Check Your Location Before Navigating the System
Quick Tip #2 Medical Home Association- Remember Which Hat You Are Wearing!
Which Hat am I Wearing? • Medical Home Association Distinguishes Your Immunization Relationship • If You are Entering Data On Behalf of ANOTHER Clinic, Choose the Correct Medical Home Association (i.e. Relationship) to THAT Facility
Quick Tip #3 Warnings Vs. Hold Ups
Warnings vs. Hold Ups • Warning:Will Not Impact Your Ability To Navigate the System • Hold Up: Will Impact Your Ability To Navigate the System
Quick Tip #4 Administering Immunizations- Rules to Live By
Administering IZs: Easy as 1,2,3! 1. Confirm VFC Eligibility 2. Confirm/Change Date Immunization Was Administered • Defaults to Date of Data Entry 3. Make Sure ALL Fields (Left to Right) are Completed Now You Are Ready to Press SAVE
Quick Tip #5 Historical Immunizations- Recording Facility Name
Historical IZs: Recording Facility Name 1. If the Administering Facility is Know, Record This Information in the “Transcribed from Official Records” Field • You Can Copy & Paste Facility Name When Populating Multiple Lines • Facility Name Will Print on Official Record
Quick Tip #6 Historical Immunizations- Utilizing Default Dates
Historical IZs: Using Default Dates 1. Utilize the “Default Dates” Fields • Populate the Default Date Fields with The Patients IZ Dates • Place Your Mouse on the Line of the Immunization They Received & DOUBLE CLICK • The Date Automatically Populates
Quick Tip #7 Historical Immunizations- Recording Combo Vaccines
Historical IZs: Recording Combo Vaccines 1. Record Each Antigen in the Combo Vaccine Separately
Historical IZs: Recording Combo Vaccines Our Preferred Method is as Follows…
Historical IZs: Recording Combo Vaccines 2. Streamline Historical Data Entry By Using Trade Names • Record One Antigen • Edit the Vaccine • Select a Trade Name
Historical IZs: Recording Combo Vaccines 2. Streamline Historical Data Entry By Using Trade Names • imMTrax Will Automatically Populate the Other Antigens Contained in the Combo Vaccine
Looking Forward • Transition to VTrckS • CDC Immunization Ordering System • Online Ordering in imMTrax • Enhanced HL7 Data Exchange